| NPI | 1346985744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 23884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125079409) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-07-30 |